Individual
KRISTINE K HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3505 WESTERN AVE, KINGMAN, AZ 86409-3011
(928) 757-8111
(928) 757-1199
Mailing address
3505 WESTERN AVE, KINGMAN, AZ 86409-3011
(928) 757-8111
(928) 757-1199
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-12680
AZ
Other
Enumeration date
04/10/2009
Last updated
04/20/2009
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